Final - Evaluation Of Adls (Badls Only)
Starts on pg. 85 of your notes. Only covers the BADLs.
Questions and Answers
- 1.
Is it informative to you as a therapist to place someone in a novel situation during an ADL eval?
- A.
Yes, it allows you to see his/her ability to generalize learned skills
- B.
No, it only enhances issues that you are already aware of
Correct Answer
A. Yes, it allows you to see his/her ability to generalize learned skillsExplanation
Placing someone in a novel situation during an ADL eval is informative to a therapist because it allows them to observe the individual's ability to apply and adapt their learned skills to a new and unfamiliar context. This can provide valuable insights into the person's level of independence, problem-solving skills, and ability to generalize their abilities beyond familiar situations. By assessing their performance in a novel situation, the therapist can gain a more comprehensive understanding of the individual's overall functional abilities.Rate this question:
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- 2.
Time of day can be an issue with cognitively-impaired pts.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement suggests that the time of day can pose challenges for patients with cognitive impairments. This implies that their cognitive functioning may vary throughout the day, with certain times being more difficult for them to comprehend or perform tasks. This could be due to factors such as fatigue, medication effects, or natural fluctuations in cognitive abilities. Therefore, the statement is true as it highlights the potential impact of time of day on cognitively-impaired patients.Rate this question:
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- 3.
Check all the evals that require observation of client performance.
- A.
Barthel Index
- B.
COPM
- C.
FIM
- D.
Katz Index of ADLs
- E.
Klein-Bell ADL scale
- F.
Patient Evaluations Conference System
Correct Answer(s)
A. Barthel Index
C. FIM
D. Katz Index of ADLs
E. Klein-Bell ADL scale
F. Patient Evaluations Conference SystemExplanation
COPM just requires a semi-structured interview.Rate this question:
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- 4.
On the Adult FIM, which person(s) assess(es) the Self-Care portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer
A. OTExplanation
The correct answer is OT because Occupational Therapists (OTs) are specifically trained to assess and address a person's ability to perform self-care activities. They focus on helping individuals regain or develop the skills necessary for activities of daily living, such as bathing, dressing, grooming, and feeding themselves. Nurses, Physical Therapists (PTs), Speech Therapists, and Recreational Therapists may have their own areas of expertise and assessments, but on the Adult FIM, it is the OT who assesses the Self-Care portion.Rate this question:
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- 5.
On the Adult FIM, which person(s) assess(es) the Sphincter Control portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer
B. NurseExplanation
The correct answer is Nurse. The Adult FIM is a functional assessment tool used to measure a person's level of independence in performing daily activities. The Sphincter Control portion assesses the individual's ability to control their bowel and bladder function. Nurses are typically responsible for assessing and monitoring a patient's bowel and bladder function, making them the most appropriate healthcare professional to assess this portion of the Adult FIM.Rate this question:
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- 6.
On the Adult FIM, which person(s) assess(es) the Transfers portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer(s)
A. OT
C. PTExplanation
The Adult FIM is a functional assessment tool used to evaluate a person's level of independence in activities of daily living. The Transfers portion of the assessment focuses on the individual's ability to move from one surface to another, such as transferring from a bed to a wheelchair. Occupational therapists (OTs) and physical therapists (PTs) are trained in assessing and providing interventions for mobility and transfers, making them the appropriate professionals to assess the Transfers portion of the Adult FIM. Nurses, speech therapists, and recreational therapists may have other roles in the care of the individual, but they are not typically responsible for assessing transfers in this context.Rate this question:
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- 7.
On the Adult FIM, which person(s) assess(es) the Locomotion portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer
C. PTExplanation
The correct answer is PT because Physical Therapists are trained to assess and treat individuals with mobility and locomotion issues. They have expertise in evaluating and improving a person's ability to move, walk, and perform functional activities.Rate this question:
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- 8.
On the Adult FIM, which person(s) can assess(es) the Communication portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer(s)
A. OT
D. Speech therapistExplanation
The Communication portion on the Adult FIM can be assessed by an Occupational Therapist (OT) and a Speech Therapist. These professionals have the knowledge and expertise to evaluate an individual's communication abilities and determine their level of independence in this area. The other options, Nurse, PT, and Recreational Therapist, may have some involvement in the individual's care but may not have the specific training and skills required to assess communication abilities.Rate this question:
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- 9.
On the Adult FIM, which person(s) assess(es) the Social Cognition portion?
- A.
OT
- B.
Nurse
- C.
PT
- D.
Speech therapist
- E.
Recreational therapist
Correct Answer(s)
A. OT
E. Recreational therapistExplanation
Rec. therapist assesses the social interaction. OT does the problem solving and memoryRate this question:
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- 10.
The WeeFIM is utilized in ___________.
- A.
Pediatrics
- B.
Acute care
- C.
Adult outpatient
Correct Answer
A. PediatricsExplanation
The WeeFIM is a functional assessment tool that is specifically designed for use in pediatrics. It is used to assess the functional abilities of children, particularly those with disabilities or medical conditions. The WeeFIM helps healthcare professionals in pediatrics to evaluate a child's level of independence in activities of daily living, such as self-care, mobility, and communication skills. By using the WeeFIM, healthcare providers can gather valuable information about a child's functional abilities, track their progress over time, and develop appropriate intervention plans to improve their overall functioning.Rate this question:
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- 11.
The Mini FIM is utilized in ___________.
- A.
Pediatrics
- B.
Acute care
- C.
Adult outpatient
Correct Answer
B. Acute careExplanation
The Mini FIM is utilized in acute care settings. This assessment tool is commonly used to measure a patient's functional independence and determine their need for assistance in activities of daily living. Acute care refers to the short-term treatment and management of patients with severe injuries or illnesses. Therefore, it is logical to use the Mini FIM in this setting to assess and monitor patients' functional abilities during their stay in acute care facilities.Rate this question:
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- 12.
For the FIM, admission data must be collected within _______ hours after admission
- A.
12
- B.
24
- C.
48
- D.
72
Correct Answer
C. 48Explanation
It says 72 on the handout but Glenn made us change it to 48 hrs.Rate this question:
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- 13.
For the FIM, discharge data must be collected within _______ hours after admission
- A.
12
- B.
24
- C.
48
- D.
72
Correct Answer
C. 48Explanation
It says 72 on the handout but Glenn made us change it to 48 hrs.Rate this question:
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- 14.
The FIM score reflects what the patient can do or what she/he performed once. Capacity rather than actual performance is recorded.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
Reflects what the person usually does. Actual performance rather than capacity is recorded.Rate this question:
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- 15.
For the FIM, if differences in function occur in different environments or at different times of the day, record the lowest score.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The explanation for the given correct answer is that when recording the Functional Independence Measure (FIM), it is important to consider any differences in function that occur in different environments or at different times of the day. In order to accurately assess a person's level of independence, it is necessary to record the lowest score observed, as this indicates the individual's lowest level of functioning. By doing so, the FIM provides a comprehensive understanding of the person's abilities and limitations across various contexts.Rate this question:
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- 16.
During a FIM eval, you must set up the activity for the patient. This would automatically put her at level ________.
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer
C. 5Explanation
During a FIM eval, setting up the activity for the patient would automatically put her at level 5. This implies that the patient requires "supervision or setup" from the caregiver to complete the activity safely and effectively. Level 5 indicates that the patient is able to actively participate in the activity but needs assistance or cues to complete it.Rate this question:
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- 17.
During a FIM eval, you want to evaluate transfers but it might put the patient at risk for injury because he is a fall risk. This would automatically put him at level ________.
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer
G. 1Explanation
During a FIM eval, if evaluating transfers puts the patient at risk for injury due to being a fall risk, this automatically puts the patient at level 1. Level 1 indicates that the patient requires total assistance and is unable to safely perform the task without the risk of injury.Rate this question:
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- 18.
During a FIM eval, you and an aide are required to help the patient during lower body dressing. This would automatically put her at level ________.
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer
G. 1Explanation
During a Functional Independence Measure (FIM) evaluation, the scoring is based on the level of assistance required by the patient to perform various activities. In this case, if both the evaluator and an aide are required to assist the patient during lower body dressing, it indicates a complete dependence on others for this task. According to the FIM scale, a score of 1 represents total assistance or complete dependence, which is the appropriate level for the given scenario.Rate this question:
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- 19.
You are performing a FIM eval on a patient in acute care, but he gets transferred out for dialysis. You were in the middle of assessing his self-care. You ask your supervisor what you should do and he says that you can put "N/A" on that section and leave the other sections blank. Was your supervisor correct in telling you this?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
Do not leave any FIM item blank and do not enter "N/A" for any FIM item.Rate this question:
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- 20.
If you receive these scores on the FIM, you are considered "Independent."
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer(s)
A. 7
B. 6Explanation
If a person receives scores of 7 and 6 on the FIM assessment, it means that they have demonstrated a high level of independence in their functional abilities. The FIM is a tool used to measure a person's level of independence in activities of daily living, such as bathing, dressing, and mobility. A score of 7 indicates that the person requires no assistance or supervision, while a score of 6 indicates that they may require some assistance or supervision in certain areas. Therefore, receiving these scores on the FIM assessment would classify the person as "Independent".Rate this question:
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- 21.
If you receive these scores on the FIM, you are considered "Complete Dependence"
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer(s)
F. 2
G. 1Explanation
In the given scale, the numbers represent scores on the FIM (Functional Independence Measure) assessment. A score of 2 indicates that the individual requires substantial assistance from another person to perform a task, while a score of 1 indicates that the individual is completely dependent on another person to perform a task. Therefore, if someone receives scores of 2 and 1 on the FIM, they are considered to have "Complete Dependence" as they require significant assistance and are unable to perform tasks without help.Rate this question:
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- 22.
If you receive these scores on the FIM, you are considered "Modified Dependent"
- A.
7
- B.
6
- C.
5
- D.
4
- E.
3
- F.
2
- G.
1
Correct Answer(s)
C. 5
D. 4
E. 3Explanation
If a person receives scores of 5, 4, and 3 on the FIM, they are considered "Modified Dependent". This suggests that the individual requires some assistance and supervision with daily activities and may have limitations in their ability to perform certain tasks independently. The scores indicate a moderate level of impairment in functional abilities, indicating the need for support in various areas of daily living.Rate this question:
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- 23.
How many days after discharge should you collect follow-up FIM data on a patient?
- A.
30-60
- B.
60-80
- C.
80-180
Correct Answer
C. 80-180Explanation
The correct answer is 80-180. This is because collecting follow-up FIM data on a patient after discharge is important for monitoring their progress and evaluating the effectiveness of their treatment. Waiting at least 80-180 days allows for a sufficient amount of time to pass, during which the patient can undergo rehabilitation and potentially show improvements in their functional independence. Collecting data within this timeframe provides a more accurate representation of the patient's long-term outcomes.Rate this question:
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Mar 22, 2023Quiz Edited by
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Dec 14, 2013Quiz Created by
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